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Baker Hall
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lackawanna, New York
NPI 1023229192

Baker Hall is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lackawanna, NY. Baker Hall practices in Lackawanna, NY. The NPI Number for Baker Hall is 1023229192 and holds a License No. (New York).

The current practice location address for Baker Hall is 170 Martin Road, Lackawanna, NY and can be reached out via phone at 716-828-7470 and via fax at 716-827-8581.

Location: 170 Martin Road, Lackawanna, NY, 14218-1629
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1023229192
Provider Name
Baker Hall
Credential
Provider Entity Type
Organization
Address
170 Martin Road, Lackawanna, NY, 14218-1629
Phone Number
716-828-7470
Fax Number
716-827-8581
Provider Enumeration Date
05/24/2007
Last Update Date
06/15/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01129955 05 NY
institution
Provider Business Practice Location Address Details
Address
170 Martin Road
City
Lackawanna
State
New York
Zip
14218-2708
Phone Number
716-828-7470
Fax Number
716-827-8581
person
Provider Business Mailing Address Details
Address
170 Martin Road
City
Lackawanna
State
New York
Zip
14218-2708
Phone Number
716-828-7470
Fax Number
716-827-8581
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
7600442 (New York)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(New York)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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